BTS BTSWEMG2 Wireless EMG sensor for EMG system User Manual EREMB 01091 06 FREEEMG 100 RT ENG v 2 0 3

BTS SpA Wireless EMG sensor for EMG system EREMB 01091 06 FREEEMG 100 RT ENG v 2 0 3

EREMB-01091-06 FREEEMG 100 RT User Manual ENG v.2.0.3

version 2.0.3user manualenglish
Document Number : EREMB-01091-06Published: June 2013 Copyright © 2010 - 2013 BTS SpA. All Rights Reserved.
1BTS Bioengineeringcontents              1icons, symbols and acronyms          3radio regulation              7disposal (WEEE)            8 intended use                   9regulatory label              10  receiving unit regulatory label        10  EMG wireless probes regulatory label       10  AUX wireless probes regulatory label       11  BTS charger regulatory label         12warnings                    13copyright                    16introduction                17  general  description           17   case contents            18system components            21   receiving unit            21  wireless EMG probes          22  wireless FSW/EGN probes (optional)      25  on-o analysis (optional)         27  electrogoniometers (optional)        29  charger              30installation              33   user PC minimum conguration        33  connections            33contents
2BTS Bioengineeringcontents  hardware installation          34  description of the software on the user PC     37  BTS EMG-Analyzer conguration check      38acquisition protocol            41appendix A – technical specications         47  wireless probes            47  receiving unit            47  BTS internal coding          48appendix B – environmental specications      49appendix C – power supply and switch o         50appendix D – battery            51appendix E – troubleshooting guide        52  warning – invalid trigger mode         52appendix F – declaration of conformity         53appendix G – regulatory notice           54  FDA medical device reporting system—reportable events  54  adverse event report (21 CFR 803.32)      55
3BTS Bioengineeringicons, symbols and acronyms Symbol in the instructions for the function. e icon represents the information which requires special attention.      Symbol in the instructions for the function. is icon makes reference to a more detailed discussion of the subject in hand.Symbol on the equipment:e data appearing next to the manufacturer’s symbol refer to the place of manufacture of the equipment itself.  Symbol on the equipment:e “FCC” simbol refers to the Federal Communication Commission of the USA. e device complies with the relevant regulations put forth by the FCC as long as it is operated according to the instructions contained in this manual and to all national and local regulations.
4BTS Bioengineeringicons, symbols and acronymsSymbol on the equipment:e gure in the square indicates the insulation class and the part types used. In accordance with Standard ISO 60601-1, the equipment has an internal power supply and the parts used are type BF. Symbol on the equipment:Attention, read the information in the users’ manual carefully before using the equipment.Symbol on the equipment:e double square indicates that the product is a medical device of IIClass (In accordance with the law EN 60601-1).Symbol on the equipment:CE mark with the code of the Notied Body. e CE mark certies that the product conforms to the standards applicable in the member states of
5BTS Bioengineeringicons, symbols and acronymsthe European Union (see Declaration of Conformity). Symbol on the equipment:CE mark with the code of the Notied Body. e CE mark certiesthat the product conforms to the Directive 99/05/EEC - R&TTE andobtained the Expert Opinion by IMQ.Symbol on the equipment and in the users’ instructions:Symbol for the separate disposal of electrical and electronic equipment, in accordance with Directive 2002/96/CE (WEEE). e equipment belongs to Group 8 (medical equipment). In force in the nations of the European Union, Norway and Switzerland.  Rx onlySymbol for prescription only. U.S. Federal law restricts this device to sale by or on the order of a physician or properly licensed practitioner.
6BTS Bioengineeringicons, symbols and acronymsREFSymbol on the equipment:Symbol located next to the model number (ref.to catalogue).SNSymbol on the equipment:Symbol located next to the series number on the equipment. Acronyms used in this manual:RU   Receiving UnitEMG   Electromyography WS   Workstation
7BTS Bioengineeringradio regulationRadio equipment identication:- EMG probes:FCC ID: YQH-BTSWEMG2IC: 9188A-BTSWEMG2- FSWEGN probes:FCC ID: YQH-BTSWAUX IC: 9188A-BTSWAUX- Receiving Unit contains:FCC ID: TFB-MATRIXLPIC: 5969A-MATRIXLPis device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) is device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.Modications not expressly approved by BTS SpA could void the user’s authority to operate the equipment under FCC rules.
8BTS Bioengineeringdisposal (WEEE)In disposing of the equipment observe the legal prescriptions. In accordance with Directive 2002/96/CE (WEEE) all equipment supplied after 13/08/2005 may not be disposed of in general domestic waste. is equipment belongs to Category 8 (medical equipment) and is classied in the Business-to-Business sector. e  symbol  of  the  crossed  out  rubbish  bin indicates  that  the  equipment  must  not  be disposed of in normal domestic waste. e regulations for disposal may dier between individual countries in the EU. In cases of doubt, refer to the respective sales outlet. is is a battery-powered equipment. See Appendix D for information about the batteries used. Operate and dispose of this equipment according to the instructions set in the “warnings” section.
9BTS Bioengineeringintended useis equipment is an instrument for the EMG surface analysis, classied as medical equipment in accordance with European Directive 93/42/CE (and its amendments).BTS FREEEMG 100 RT must always be used only for this purpose, by qualied persons, in an environment suitable for the execution of EMG analyses and respecting the prevailing regulations in the countries in which it is being utilized.
10BTS BioengineeringProbe IDregulatory labelReceiving Unit Regulatory labelEMG Wireless Probes Regulatory labelLabel on the probes:
11BTS Bioengineeringregulatory labelLabel not on actual probes due to size constraints:AUX Wireless Probes Regulatory labelLabel on the probes:Label not on actual probes due to size constraints:Probe ID
12BTS Bioengineeringregulatory labelBTS Charger Regulatory label3A  3A         9V       3A         9V
13BTS BioengineeringWe  recommend  to  carry  out  any  kind  of  operation  keeping strictly to the security regulations contained in this manual. e safety of the instrument cannot be guaranteed if these conditions are not respected. BTS FreeEMG 100 RT is a medical device (EU Directive 93/42/CE and its amendments, including Directive 2007/47/CE) which use must be at all times be supervised by qualied and authorized personnel, according to the laws in force in the nation it is in use. e EMG probes are classied as ETSI EN 300 440 “Receiver category 3” according to Directive R&TTE 99/5/EEC.e results of the acquisitions must be assessed by people legally authorised by national law, who possess the suitable necessary knowledge of anatomy and muscular function.e instrument must be used in a medical environment, since it has a high level of sensitivity (measured voltage levels of between 1 microvolt and 6 millivolt).e uses of the device for other purposes and with methodologies dierent  from of  those  indicated  in  this  manual  are  not  to  be considered congruent with the precise use of the device.During the preparation of the patient, take particular care that the system’s components  do  not  impede  in  any  way  the  normal  movements  of  the subject. Apply the probes only on undamaged skin.warnings
14BTS Bioengineeringwarnings•  Only  use  CE  branded  probes  and  hypoallergenic  double-sided  tape, compatible with the usage on undamaged skin for brief periods of time•  Periodically verify the integrity of the system and of its components.•  To not wet or dip in water the parts which make up the system.No modication of this equipment is allowed.•  Only  BTS  S.p.A.  authorized  technicians  may  maintain  and  operate servicing  to  the  instrument.  BTS  S.p.A.  cannot  be  held  responsible for system safety should the instrument be opened, repairs carried out, third parties software be installed, or system components be replaced by persons other than those authorized by BTS S.p.A.•  Users cannot change any software conguration (including O.S. and CD writer software). •  In case the device accidentally falls, tear of the probes or other accidents always address authorized technical support.•  Use only the provided power supply unit FW7363M/09 (FRIWO) or the one provided by BTS S.p.A. for supplying  the charger unit. If a dierent power supply unit is used, the compliance to IEC 60601-1 is not ensured.•  Only original cables must be used, otherwise BTS S.p.A. cannot assure the safety of the instrument. Should it be necessary to replace any part of the system, only original BTS S.p.A. parts may be used. In addition to the users’ instructions, the prescriptions regarding accident  prevention  and  technical  regulations  regarding occupational safety must also be complied with. e appertaining national  regulations  and  standards  of  the  country  of  use,  with regards prevention of accidents and environment, are an extension of the users’ instructions.
15BTS Bioengineeringwarnings•  Make  sure  that  the  cables  have  been  connected  correctly.  When disconnecting cables, use the connectors and not the cables themselves to unplug the connectors.•  Mains plug of external power supply unit is considered as disconnecting device.  Avoid  connecting  the  probes  to  the  charger  with  inverted polarity with respect to that shown on the cover of the recharger – is could cause irreparable damage to them.•  For a safe use and adequate maintenance of rechargeable batteries strictly follow the instructions given in this manual. If rechargeable batteries are used in such a way that is not the one specied by BTS S.p.A. the shelf life, functionality and the integrity of the batteries is not ensured.•  ESD application to EGN probes, causes a loss  of  link  to the device. Temporary loss of function or performance which is recoverable with operator action.BTS  FREEEMG  100  RT  is  a  device  that  is  able  to  function COUNTINUOUSLY,  this  is  of  course  limited  by  the  battery duration  and by  the memory  available  for  the acquisition  data storing.e device uses lithium ion battery. For the battery replacement and  disposal  please  contact  the  technical  support.  At  any  rate, ensure that  device  component (i.e.)  probes,  receiving  unit,  …) integrity is never compromised.e information  contained in this  manual is subject  to change without notice and does not constitute product specications or any obligation on the part of BTS S.p.A.
16BTS Bioengineeringcopyrighte software of the system described in this manual is supplied with the “licence  to  use”  contract.  e  software  may  be  used  or  copied  only  as stipulated under the terms of this contract. No  part  of  this  manual  may  be  copied  or  transmitted  in  any  form  or means, electronic or mechanical, including photocopying, without prior written permission from BTS S.p.A. Unless otherwise specied, any reference to companies, names, data and addresses used in  the reproduction of the  screens  and the examples  are purely incidental, and has the sole purpose of illustrating the use of the BTS product. All trademarks are registered by the respective owners.is  publication  contains  reserved  information  which  is  the property of BTS S.p.A.e recipient acknowledges that the illustrations and information supplied in this manual shall not be made available to third parties without explicit written agreement by BTS S.p.A.
17BTS BioengineeringGeneral descriptionBTS FREEEMG 100 RT allows for a functional evaluation and a real-time visualization of the acquired signals for biofeedback and monitoring applications.at  makes  it  an  indispensable  instrument  in  the  elds  of  sport, rehabilitation, ergonomics, neurology and orthopaedics.With  BTS  FREEEMG  100  RT  the  patient  set  up  in  very  quick:  the lightweight probes are attached directly to the pre-gelled electrodes and do not require any additional xing such as adhesive tape. anks to the total absence of cables the patient can move around freely.  BTS  FREEEMG  100  RT  is  supplied  with  EMG-Analyzer  the  most complete software  solution for  analyzing  electromyographic signals and with BTS MIOFEED, an easy-to-use therapeutic solution, studied also for home applications.BTS EMG-Analyzer software includes predened templates for evaluations in  the  clinical,  sports,  and  research  eld:  Jump,  plyometrics,  walking, fatigue analysis, isokinetic, etc...BTS EMG-Analyzer also has an editor for creating elaboration protocols:  thanks to an innovative object interface, that translates the biomechanical analysis language into graphical form, the user can develop quickly and eectively customized analysis protocols.introduction
18BTS Bioengineeringintroduction BTS  MIOFEED  software  allows  a  real-time  monitoring  of  muscular activations during rehabilitative or sports tests execution. e EMG signal acquired with BTS FREEEMG 100 RT are transmitted in  real-time  directly  at  the  receiving  unit  connected  to  the  PC  and transformed in graphic form and sounds to provide a prompt audio-visualfeedback  to  the  subject.  is  increase  of  audio  and  visual  aerences  is fundamental in order to improve the contractile capacities of the muscles., also of the paretic ones.BTS FREEEMG 100 RT seamlessly integrates with BTS motion analysis systems,  through the SMART (and ELITE) dedicated software.Case contents Standard components:• Receiving Unit • Up to 6 wireless EMG probes (identicative labels available in 4  dierent colors) • Magnet for EMG probes activations
19BTS Bioengineeringintroduction• Probes Charger (AC adapter included)• Set of disposable electrodes• USB extension cable• User manualOptional components:• Footswitch Kit  • 2  FSW/EGN Wireless Probes      • 2 Connectors of 4 Switches           • 10  single Switches
20BTS Bioengineeringintroduction • Electrogoniometer Kit  • 1  FSW/EGN Wireless Probe      • 1 Electrogoniometer   • 1 Connector                 You will receive the instructions for use for other possible optional components not mentioned in this manual.
21BTS BioengineeringBTS FREEEMG 100 RT system consists of two parts: the receiving unit and the wireless probes.Receiving unite  receiving  unit, connected  to the  PC trough  USB, allows the WiFi  reception of the signal acquired by the wireless probes.e receiving unit is able to handle simultaneously 6 wireless probes with the following limitations:•  up to 6 EMG probes, used for acquisition of the same number of electromyographic signals;•  up to 2 probes for the connection of 4 switches each, used for the basographic acquisition; •  up  to  6  probes  for  electrogoniometers  connection,  used  for acquisition of up to  2 angle components each;  •  it  is  not  possible  to  acquire  simultaneously  FSW  and  EGN probes.system components
22BTS Bioengineeringsystem componentsAll the probe combinations that respect what indicated above are possible.Wireless EMG ProbesBTS FREEEMG 100 RT utilizes miniaturized probes with active electrodes weighing less than 13 grams. e  special  design  ensures  maximum  space-saving  and  comfort  for  the patient who is free to move around without obstacles.e probes can be hooked on directly to the pre-gelled electrodes without requiring additional xing with plasters or double-sided tape. is together with the total absence of cables enables a much faster patient preparation, drastically reducing the time of each session.Each probe consists of a mother electrode and a satellite electrode, each tted with a clip. e two parts, connected via a exible cable, may be positioned as needed by the user at adjustable distance (electrodes with variable geometry).7WiFi transmission
23BTS Bioengineeringsystem componentsAll probes are equipped with a solid state memory buer, to prevent data loss for problems due to the WiFi network or due to exceeding the useful operating range.Each probe is tted with an LED indicating its state. e probes can be in one of a number of dierent states: •  Charge: steady blue LED. During the recharging phase the steady blue LED is on.is phase occurs when the probes are connected to the charger turned on, and the charge level is less than 90%.When the charge level reaches 90% the led turns OFF.Since, by connecting a probe to the charger on, it enters in “Deep Sleep” mode, even while charging the probe will be completely passive and does not respond to any commands.•  Active-Scanning:  white  LED  which  cyclically lights  for  a  few seconds.  In this mode the probe is searching for the receiving unit. At  intervals  of  about  1  minutes  it  carries  out  a  scan  of  the frequencies  of  few  seconds.  During  the  scan  the  white  LED ashes quickly. 12345mother electrodeLEDsatellite electrodemother electrode clip satellite electrode clipexible cableprobe ID6751225 3467
24BTS Bioengineeringsystem components•  Active-Connected: white LED which ashes slowly.  When the probe and the receiving unit establish a connection, the white LED begins to pulse slowly: the probe is waiting for commands.  If the connection is interrupted, the probe returns to “Active-Scanning”  mode  and  attempts  to  re-establish  the  connection with the receiving unit. •  Active-Capturing:  white  LED  which  lights  and  goes  out  at regular intervals. During acquisition the white LED ashes at regular intervals of approximately one second. At the conclusion of the acquisition, the probe returns to the “Active-Connected” condition. If during the acquisition, connection to the receiver unit is lost, the probe continues to acquire, storing the data locally for one minute and at the same time scans the assigned channel trying to reconnect to the receiving unit. If after one minute the scan is  unsuccessful,  the  probe  returns  to  the  “Active-Scanning” condition interrupting the storage of data.•  Completely discharged or in “Deep Sleep” mode: LED is o.  If the probe is completely discharged the LED does not display any ashing cycle and is o.  e  same  happens  when  it  is  in  “Deep  Sleep”  mode  (except during the recharging phase in witch the led is steady blue). e probes in “Deep Sleep” mode do not perform any scan cycle, but are turned o. Is therefore guaranteed energy savings.
25BTS Bioengineeringsystem componentsTo put the probe in “Deep Sleep” mode it is necessary to connect them  to  the Charger  switched on,  or to  put them  in contact with a magnet for half a second. Before the next use is necessary to reactivate the probes, putting them in contact with a magnet. e probes are charged  by  a dedicated charger to  which the probes are connected via their respective clips.For more info about the probes charge sse the paragraph “Charger” of this chapter.Wireless FSW/EGN Probes (optional)For collecting the on-o analysis signals coming from the Footswitch or for collecting data from the Electrogoniometers (optional system components) BTS FREEEMG 100 RT uses wireless probes which must be connected to the FSW or EGN probes using a special connector.e probe will work dierently if used with one or the other probe and will receive from the same receiving unit information on its work modality during activation.
26BTS Bioengineeringsystem componentse probe consists of a single parallelepiped-shaped block. e upper face has an ID tag characterized by a color (Green, Red, Yellow, Blue) and a letter (A, B, C, D, E or F) and a status LED.e probes can be in one of a number of dierent states: •  Charge: steady red LED. During recharging the red LED is on, the probe is completely passive and does not respond to any command. When the battery is fully recharged or when the probe is removed from the charger, if suciently recharged it passes to the “Active-Scanning” mode.•  Active-Scanning:  green  LED  which  cyclically  lights  for  a  few seconds.  In this mode the probe is searching for a receiving unit. At intervals of about 3 minutes for 3 seconds its carries out a scan of the frequencies. During the scan the green LED ashes quickly. •  Active-Connected: Green LED which ashes slowly.  When the probe and the receiving unit establish a connection, the green LED begins to pulse slowly: the probe is waiting for commands.  If the connection is interrupted, the probe returns to “Active-Scanning” mode and attempts to re-establish the connection. •  Active-Capturing:  Green  LED  which  lights  and  goes  out  at regular intervals.
27BTS Bioengineeringsystem componentsDuring acquisition the green LED ashes at regular intervals of approximately one second. At the conclusion of  the  acquisition, the probe returns to the “Active-Connected” condition. If during the acquisition, connection to the receiver unit is lost, the probe continues to acquire, storing the data locally for one minute and at the same time scans the assigned channel trying to reconnect to the receiving unit. If after one minute the scan is unsuccessful, the probe returns to the “Active-Scanning” condition interrupting the storage of data.•  Probe discharged: LED is o.  If the probe is completely discharged the LED does not display any ashing cycle and is o. e  two  lateral  faces  have  two  connectors;  the  one  on  the  ID  tag  side serves to charge the probe, and a cable will be connected to this to enable connection to the Charger.e one on the other side is for the probe connections (FSW or EGN).Finally, the ID identier of the probe is on the bottom left corner of the back side.On-o analysis (optional)e  Footswitches  are  useful  in  dening  the  contact  points  during  the contact phases of deambulation.
28BTS Bioengineeringsystem componentse footswitches  consist of  a resistive membrane, (FSR  technology), of diameter 18 mm and thickness less than 0.5 mm, expressly designed for applications in the analysis of movement. e compact size of the instrument permits a maximum of exibility in positioning on the patient’s foot.For  applications  other  than  gait  analysis,  there  are  available on  request smaller diameter (8 mm) switch probes (applicable, for example, to the nger), and square (useful for tapping tests), 44 mm x 44 mm.BTS  FREEEMG  100  RT  permits  up  to  8  basographic  zones  to  be measured, through 2 connectors from 4 single switches (usually right and left side) that are connected to the two FSW/EGN wireless probes. e  footswitch  channels  are  not  supplementary  to  the  6 electromyographic channels. Moreover it is not possible to acquire simultaneously FSW and EGN.Refer to § “receiving unit” for the possible probes combination.
29BTS Bioengineeringsystem componentsElectrogoniometers (optional)e Electrogoniometer is an easy to use device that allows the measurement of joint angle progress over time. ere are  primarily  two  types  of electrogoniometers:  the  potentiometer and  the  strain  gauge.  BTS  FREEEMG  100  RT  uses  the  strain  gauge electrogoniometer of Biometrics LTD.  ere are single-axle models for the neck (axial rotation) and the forearm (prone-supination) and biaxial models for other main joints: wrist, elbow, knee, ankle, hip and back.e strain gauge electrogoniometers are made up of two sensors, connected to each other, that are xed to the bone segments involved in the joint to value.e measure  of  the angle  is provided by the  relative  angle between the axes of the two sensors and, unlike the potentiometric electrogoniometers, it doesn’t depend on the linear slidings in which the two extremities can incur.Each  electrogoniometer  is  connected  to  a  FSW/EGN  wireless  probe
30BTS Bioengineeringsystem componentsusing the appropriate connector. Each receiving unit can handle up to 6 electrogoniometers.e EGN channels are not supplementary to the electromyographic ones, each EGN probe replace a EMG probe. Each EGN probe allows acquiring up to two angular components.   Moreover it is not possible to acquire simultaneously FSW and EGN.Refer to § “receiving unit” for the possible probes combinations.Charger e Charger, included with the product, charges the BTS FREEEMG 100 RT probes. e Charger can simultaneously charge up to 8 EMG probes and 2 FSW/EGN probes.More  units  can  be  connected  in  series  for  simultaneous  power  supply through the same AC adapter, using the cable included.
31BTS Bioengineeringsystem componentse EMG probes are connected to the charger using the same clips that normally collect the EMG signal.Refer to the cover of the charger to identify the correct polarity. e probes cannot be recharged if the polarities are inverted. e  Charger  comes  with  an  output  short  circuit  protection system also in case of reversed recharging poles. At any rate, poles connected incorrectly will not recharge.While  the  FSW/EGN  probes  connect  to  the  charger  using  the  special connector as shown in the gure below:  To recharge connect all the probes that you would like to charge to the Charger (follow the instructions  described above)  and connect the AC/
32BTS Bioengineeringsystem componentsDC adaptor to the mains and turn on the switch located on the rear panel.When the Charger is properly connected to the mains and has been turned on, the status LED “Power” will show a steady GREEN light.e charging status of the EMG probes and of the FSW/EGN probes is indicated by the respective status LED (see § “Wireless EMG Probes” and “Wireless FSW/EGN Probes”).Note that inserting the EMG probes into the Charger when it is on, these come in “Deep Sleep” mode. It is necessary to reactivate the probes, prior to use them, using a magnet.
33BTS BioengineeringUser PC minimum conguration Operating system    Windows 7Processor      Intel Dual CoreRAM        2 GBVideo resolution     1280x800Disk space      100 MB for the application,         not including storage for acquired dataUSB        2.0Connectionse wireless probes transmit in real-time the acquired data to the receiver connected via USB to the Workstation.Connect the receiver to the WS using the USB connector.If the morphology of the WS does not allow direct connection of the receiver, use the USB extension cable.Also verify that the probes are fully charged and ready for use:Note  that  to  be  recognized  and  activated  by  the  system  it  is necessary  that  all  the  probes  have  been  disconnected  from  the Charger  (if  switched-on)  and  that  the  EMG  probes  have  been also reactivated using a magnet.installation
34BTS BioengineeringinstallationHardware installatione rst step of the hardware installation procedure consist in the USB receiver driver installation.To  do  that  enter  in  the  CD  player  of  the  workstation,  the  BTS  CD software  containing  the  installation  les  that  contains  the  “EmbEMG-X.X.XX.X.zip” le.Extract the .zip le in the local disk C and then perform a double click on the le “CDM20814_Setup.exe” and wait for the window that has just opened, to close.After have performed all the steps above, it will be necessary to congure the port for the USB receiver.To set the characteristics of the receiver the system requires the receiver to be connected to the PC via a USB port.en,  clicking  the  mouse  right  button  on  “My  Computer”,  select “Properties”, choose “Hardware” and then enter the “Device Manager”:
35BTS BioengineeringinstallationOnce inside the Device Manager menu, select “Ports (COM & LPT)” and click the right button on the item below “USB Serial Port (COMx)” and select “Properties”.Entering the port properties window it will be displayed the following:
36BTS BioengineeringinstallationIn which you must select the TAB “Port Settings”.From this TAB set in the drop box menu related to the “Bits per second”, the value 115200 and then click “Advanced”.In  the  window  that  opens,  you  must  set  the  value  of  “Latency  Timer (msec)” equal to 1msec, and then click “OK”, returning to the previous screen.
37BTS BioengineeringinstallationAlso in the “Port Settings” window click on “OK” then close the windows remained still open.During the setting operations of the COM port, take note of the port number that the PC automatically associates to the device, because you will need it at the software rst start.Description of the software on the user PCBTS  EMG-Analyzer  is  the  complete  and  highly  exible  solution  for making advanced elaborations of electromyographic signals and angular measurements of body segments. Includes  predened  templates  for  evaluations  in  clinics,  sports,  and research and an editor to develop customized elaboration protocols.
38BTS BioengineeringinstallationIn the following paragraph we  will  refer to this software, however BTS FREEEMG 100 RT is manageable also by BTS MIOFEED software and all BTS applications of  SMART family dedicated to the motion analysis.For more details concerning the use of BTS FREEEMG 100 RT with other software, please refer to its specic manual.Before to proceed verify that the software BTS EMG-Analyzer has been properly installed on the user PC (please refer to its manual for the installation procedure). BTS EMG-Analyzer conguration checkKeeping the receiver still inserted in the USB port, launch BTS EMG-Analyzer double-clicking on the relative icon.If the following windows appears:Click on “OK” to reach the software main screen.On the menu bar at the voice “Laboratory” select “Set Emg Device”. e following windows will open:
39BTS BioengineeringinstallationVerify that the check is on “EMG embedded”.Select the correct Port number acting on the drop box menu, according with the port number that the PC has automatically associated to the device during the COM port setting operations (see §”Hardware installation”).If the port number selected is the correct one the software will activate the Sensors area of the windows and all the info about the sensors associated with the USB receiver connected to the workstation will be visualized.
40BTS BioengineeringinstallationVerify that all the parameters values   coincide with those reported on the supplied sensors that you want to use (see § “Wireless EMG probes” and “Wireless EGN/FSW probes”).During  the  acquisition  the  system  will  acquire  always  all  the sensors enable in this windows. Is possible to disable the sensors that you don’t need for the acquisition. Click on  “Update” before closing the window to save the new conguration.To  enable  a  sensor  click  on  the  white  square  correspondent,  the  check mark will appear and then ll the elds “Serial”, “Label Code” and “Label Color”,  according with the value reported on the probes (see § “Wireless EMG  probes”  and  “Wireless  EGN/FSW  probes”),  and  select  a  “Type” between “EMG” and “AUX”. Click on  “Update” before closing the window to save the new conguration.
41BTS BioengineeringNow we will describe a basic procedure about how to create a new protocol using BTS EMG-Analyzer software. Refer to the EMG-Analyzer manual for further details about the “Protocol builder” function.e  procedure  may  be  dierent  if  performed  with  other applications.  In  this  case,  refer  to  the  specic  manual  of  the software you are using.Please note that with BTS FREEEMG 100 RT it is possible to acquire up to 6 probes.Refer to § “Receiving unit” for the details about possible probe combinations.Launch the software EMG-Analyzer.Before to proceed we suggest you to make the procedure described in the § “Software conguration check” to be sure to have selected the EMG embedded device and  to  have enabled all the probes required for the acquisition.To  create  a  new  protocol,  from  the  menu  voice  “Laboratory”  of  BTS EMG-Analyzer, select “Create Emg Protocol” .acquisition protocol
42BTS Bioengineeringacquisition protocole window for the creation or modication of protocols will open.If the receiver is connected to the PC and correctly set, in the rst column of the protocol table there will be reported the labels of the probes connected to the receiver, and the active protocol will be displayed.If  the  active  protocol  is  not  consistent  with  the  set  of  probes connected to the receiver the following warning message will be displayed on the bottom part of the windows:
43BTS Bioengineeringacquisition protocolTo proceed with the acquisitions it is necessary to have the probes set and the selected protocol compatible.To reach this condition it is possible: - to select a line of the protocol and modify any elds to make it consistent with the probes set, -  to  select  an  other  protocol  compatible with  the probes  set among the ones saved in the database and displayed in the “Protocol folder” area of this windows, and set it as “Active protocol” clicking on “Set Active”, - coming back to the “Set Emg Device” windows and modify the probes set.To create a new protocol follow this procedure:- click on “New”. e elds to be lled for the protocol creation will be enabled.- select the anatomical map containing the muscle you want to add to the protocol  and click on  the little  yellow square  that  identied it; immediately the rst free row available in the protocol table will be lled with the info related to the selected muscle.- repeat this operation for all the muscles to be acquired.- if you want to acquire Footswitches, rst of all verify that there were no  EGN  already  selected  in  the  protocols,  otherwise  the  protocol won’t be valid and the software won’t allow saving it.Select the “District” anatomical map and proceed click on the right and then on the left foot by selecting the corresponding square in the
44BTS Bioengineeringacquisition protocolanatomical map:- If you want to acquire Electrogoniometers, rst of all verify that there were no FSW already selected in the protocols, otherwise the protocol won’t be valid and the software won’t allow saving it.Check the rst free line in the protocol table, click on the “Type” eld and select EGN among the voices available in the drop box menu.In the same way, click on the “Description” eld and select among the drop box menu voices the angles you want to acquire with the EGN, then on the “Side” eld to select the body side to which the data refers.- indicate a name for the protocol specifying it on the “Name” box.-it is possible to insert also a short description of the protocol using the appropriate box  “Description”.When every signal of the protocol has been inserted,  proceed saving the
45BTS Bioengineeringacquisition protocolprotocol, clicking  on “Save”. If the protocol is compatible with the probes combination allowed by the system the protocol could be saved.If the Probes setup is compatible with the protocol the following windows will be displayed:Clicking on “Yes” it will be set as “Active protocol” and will be used in the next acquisition session.Instead if the Probes setup is not compatible with the protocol the message displayed will be: To proceed with the acquisition it is necessary make the probes set and “Active protocol”  consistent.In both cases clicking on “NO” the protocol will be saved in the “Protocol Folder” and will be available in the future, but the “Active protocol” won’t be modied.
47BTS BioengineeringWireless ProbesGeometry:       variableElectrodes:       standard with clip connectionSeparation:       min: 16mm - max: 66mmAutonomy:       8h of use        some days stand-by        some months deep sleepBattery:       rechargeable, lithium ionDimensions:       14x41,5x24,8mm mother electrode        diameter 16x12mm satellite electrodeWeight:       13g battery includedFrequency used:      ISM band        2.4GHz (standard IEEE802.15.4)Input impedance:     >10 GOhmCMMR:       >110 dB @ 50-60HzResolution:       16bitAcquisition frequency:    1KHzSensitivity:       1μVAccuratezza di misura*:    ± 2%Receiving UnitConnection:       USBDimensions:        82x44x22,5mmWeight:       80 grappendix Atechnical specications
48BTS BioengineeringappendixFrequency used:      ISM band        2.4GHz (standard IEEE802.15.4)* e system is calibrated at the factory. No further calibration is requiredBTS internal codingName of device, components, parts and/or accessories as per product labelIdentier for device (bar code, catalogue, model or part number)FREEEMG 100 RTUSB receiving unitEMG wireless probes FREEEMG 100 RTFSW/EGN wireless probeFoot switches: Insole individual foot switches for the automatic identication of the gait events.Electrogoniometers: Sensors for the measurement of joint angles progress over the time.FRESPU12EMG-Analyzer: software application for  EMG signal analysis SMAN0901Charger  FRESPU06
49BTS Bioengineeringappendix Benvironmental specicationsMin Max NoteOperating Temperature -20° +45°Operating Humidity 50% 80% Relative, non-condensingStorage and Transport Temperature 0° +40°Storage and Transport Humidity 50% 80% Relative, non-condensingAltitude 0m 2000mDegrees of protection provided by the dangerous enclosures of  water and dust (IEC 60529): IPX0.
50BTS Bioengineeringappendix Cpower supply and switch oe receiving unit is powered by the USB port. To switch o the system the following operation must be done:- Exit from the application software- Unplug the receiving unit from the USB port.- Put the probes in “Deep Sleep Mode” placing them on the “Charger”.
51BTS BioengineeringBTS FREEEMG 100 RT probes are internally powered. e Probe battery replacement can be done only by BTS qualied personnel. e probes are sealed to avoid the access to the internal circuit components.  Batteries are equipped with battery protection circuit to: -over-voltage, threshold 4.3V -under-voltage, threshold 2.8V - short-circuitse specic characteristic of the Wireless probes equipped with the battery are: Quantity:     1 per each EMG probeTechnology:     lithium polymer (Li-Poly)Removable:     NO, BTS technical service is required appendix Dbattery
52BTS Bioengineeringappendix Etroubleshooting guideWarning – Invalid trigger modeDuring the hardware installation, the USB port dedicated to the receiver, is congured. May happen that these port settings went lost.is event may occur for example when another USB device is connected to the PC and the PC assigns to it the same port previously assigned to the receiver, returning the port setting   to the default conguration.In these cases it may occur that by launching an acquisition the following warning message may appear:In this case to proceed immediately with the acquisition, it is necessary to restart the  application,  however the  same problem will recur in later acquisitions.To  resolve  this  problem  you  must  repeat  the  USB  port  conguration procedure  described  in  the  “Hardware  Installation”  paragraph  of  the “Installation” chapter.
53BTS Bioengineeringappendix Edeclartion of conformity  DECLARATION OF CONFORMITY BTS SpA Via della Croce Rossa 11,  35129 Padova (PD)  – Italy Tel. +39 049 981 5500  Fax +39 049 792 9260 declare under our sole responsibility that the product(s):  name / description:  Electromyographic system / device for recording myoelectrical activity. model:  FreeEMG 100 RTS/N:  SN  satisfies the essential requirements of  the Medical  Devices Directive  93/42/EC (and its amendments  inluding 2007/47/CE), and therefore carries the CE marking of the European Union. The conformity assessment procedure is according to the article 11 of the directive (Annex II.3 full quality assurance) and the article 12 it is not applicable. In accordance with Annex IX of the 93/42/EC directive it is classified as follow: CLASS “IIa”  (rule 10) In accordance with IEC 60601-1 is also classified as follow: Class: internally powered device  Applied part type: BF The product conforms to the following standards: EN ISO 14971  Medical Devices - Application of risk management to medical devices.IEC 60601-1  Medical Electrical Equipment - Part 1: General Requirements for basic safety and essential performance.IEC 60601-1-2  Medical Electrical Equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral standard: electromagnetic compatibility - Requirements and tests.IEC 60601-1-6  Medical Electrical Equipment - Part 1-6: General Requirements for basic safety and essential performance - collateral Standard: UsabilityEN 62304  Medical device software - Software life-cycle processesETSI EN 301 489-3  Electromagnetic compatibility and Radio spectrum Matters (ERM) – Electromagnetic Compatibility (EMC) – standard for radio equipment and services – Part 3: Specific conditions for Short-Range Devices (SRD) operating on frequencies between 9 KHz and 40 GHz.ETSI EN 301 440-2  Electromagnetic compatibility and Radio spectrum Matters (ERM) – Short Range Devices (SRD) – Radio equipment to be used in the 1 GHz to 40 GHz frequency range – Part 2: Harmonized EN covering essential requirements of Article 3(2) of the R&TTE Directive. This compliance is valid ONLY for the equipment identified when used in a manner consistent with the intent of the referenced documents and according to the product’s usage manual.  Notified Body : TÜV Product Service GmbH, Zertifizierstelle, Ridierstrasse 65, 80339 München – Germa-ny,  Identification N. 0123. EC certificate N. G1 12 10 65301 003 valid until January, 16 2018. Padova, DateBruno Ros CEO BTS S.p.A.
54BTS BioengineeringFDA Medical Device Reporting System—Reportable Events Notice to Agents: for inclusion in all BTS systems supplied to the United States of America, the master Medical Device Reporting (MDR) le is located at BTS S.p.A. Should an adverse event occur, the following form is to be completed and forwarded within one working day to BTS S.p.A.Department of Health & Human Services,US Food and Drug AdministrationMedical Device Reporting System—Reportable EventsCode of Federal RegulationsTitle 21, Volume 8Revised as of April 1, 2006Cite: 21CFG803.32Under  803.1(a)  device  user  facilities  and  manufacturers  must  report deaths and serious injuries to which a device has or may have caused or contributed. Should such an event occur, please complete the following details  and  forward  the  document  in  accordance  with  the  applicable regulations and time limits to one of the following addresses:BTS S.p.A.via della Croce Rossa 1135129 Padova PD - Italytel +39 049 981 5500fax +39 049 792 9260appendix Gregulatory notice
55BTS BioengineeringappendixAdverse Event Report (21 CFR 803.32)Use blank pages if required.Section A. Patient InformationPatient  condentiality to be  maintained unless  authorized otherwise in writing by User Facility.Patient name or other identierAge at the time of the event (Years, Months), or Date of birth (MM/DD/YYYY)Gender Female MaleWeight lb kgSection B. Adverse Event or Product ProblemIdentication of adverse event or product problem(check all that apply) Adverse EventProduct Use ErrorProduct Problem (e.g. defects/malfunctions)Problem with Dierent Manufacturer of Same System
56BTS BioengineeringappendixOutcomes attributed to the adverse event(check all that apply) Death:(MM/DD/YYYY)Life-threatening injury or illnessHospitalization—initial or prolongedRequired intervention to prevent permanentimpairment/ damage (Devices)Disability or permanent damage:Congenital Anomaly/Birth DefectOther Serious (Important Medical Events)Date of Event(MM/DD/YYYY)Date of this report(MM/DD/YYYY)Describe event, problem or product use error(include a discussion of how the device was involved, nature of theproblem, patient follow-up or required treatment, and any environmentalconditions that may have inuenced the event)
57BTS BioengineeringappendixRelevant tests/laboratory data, including datesOther relevant history, including preexisting medical conditions(e.g. allergies, race, pregnancy, smoking and alcohol use, liver/kidneyproblems, etc.)Section C. Device InformationBrand NameType of DeviceManufacturer nameand addressModel # Lot #Catalog # Expiration Date(MM/DD/YYYY)Serial # Other #
58BTS BioengineeringappendixOperator of the device(delete not applicable)health professionalpatientlay userother:(specify)Date of system installation(MM/DD/YYYY)Device available forevaluation?(Do not send to FDA)yesnoReturned to BTS S.p.A. or its agents on:(MM/DD/YYYY)Concomitant medical products and therapy dates(do not report products that were used to treat the event)
59BTS BioengineeringappendixSection D. Initial Reporter InformationFor the reporter who initially provided information to you, or to the manufacturer or distributor:NameAddressTelephone NumberE-mail AddressHealth Professional? YesNoOccupation (includespeciality if appropriate)Initial reporter also sent acopy of report to FDA?YesNo
60BTS BioengineeringappendixSection E. User Facility InformationHealth Professional? User FacilityImporterUser Facility NumberUser Facility NameUser Facility AddressContact PersonPhone NumberDate User Facility becameaware of event (MM/DD/YYYY)Type of Report InitialFollow-up #Date of this Report(MM/DD/YYYY)Approximate age of systemEvent problem Codes (refer to “MED-WATCH Medical Device Reporting Code Instructions”)Report sent to FDA? Yes(MM/DD/YYYY)NoReport sent tomanufacturer?Yes(MM/DD/YYYY)No
61BTS BioengineeringappendixLocation where eventoccurredHospitalHomeNursing HomeOutpatient Treatment FacilityOutpatient Diagnostic FacilityAmbulatory Surgical Facilityother:(specify)Manufacturer Name/Address
BTS Bioengineering Corp.147 Prince Street - Suite 1111201 Brooklyn NY USAinfo: +1 347 204 7027helpdesk: +1 646 575 0426BTS S.p.A.viale Forlanini 4020024 Garbagnate M.se MIItalytel +39 02 366 490 00fax +39 02 366 490 24www.btsbioengineering.cominfo@btsbioengineering.com

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